Active NPI
Jeff Hemmingsen, DDS
- Pediatric Dentistry
- Dakota Dunes, SD
National Provider Identifier
1235227430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 07988
- Practice address
- 711 N Sioux Point Rd Ste 100
Dakota Dunes, SD 57049-5067 - Phone
- (605) 242-4700
- Fax
- (605) 242-4702
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 07988 | IA | Primary |
Addresses
Primary practice location
711 N Sioux Point Rd Ste 100
Dakota Dunes, SD 57049-5067
Mailing address
711 N Sioux Point Rd Ste 100
Dakota Dunes, SD 57049-5067
Phone (605) 242-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0234450 | Medicaid | IA |
Other names 1
- Dunes Dental 4 Kids
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07988 | IA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunes Dental 4 Kids, LLP | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Dakota Dunes, SD
- NPI 1033668645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1235227430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N SIOUX POINT RD STE 100",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495067",
"telephone_number": "605-242-4700",
"fax_number": "605-242-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N SIOUX POINT RD STE 100",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495067",
"telephone_number": "605-242-4700",
"fax_number": "605-242-4702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMMINGSEN",
"first_name": "JEFF",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IA",
"license": "07988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0234450",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DUNES",
"last_name": "DENTAL 4 KIDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dakota Dunes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.